How much rates vary
Facilitymedian $85 · 10th to 90th $69 to $251Professionalmedian $74 · 10th to 90th $51 to $102
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $251.19 | Facility | None | $74.13 | $85.11 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | None (both parts) | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $33.88 | $36.31 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $64.57 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $43.65 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $42.66 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $52.48 Typical High $102.33 | Professional | None (both parts) | $48.98 | $52.48 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $33.11 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $19.95 | $45.71 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $60.26 Typical High $102.33 | Professional | None | $1.00 | $60.26 | $102.33 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.00 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $1.00 | $36.31 | $52.48 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $22.39 Typical High $48.98 | Professional | TC · Technical part | $1.00 | $22.39 | $48.98 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.00 Median $1.00 Typical High $104.71 | Professional | None (both parts) | $1.00 | $1.00 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $4,265.80 | Facility | None | $69.18 | $69.18 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $43.65 | $63.10 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $51.29 | $69.18 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $43.65 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $28.18 | $51.29 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $14.79 | $16.98 |
Where Nevada sits
The same service costs 3.3 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nevada· 28th of 51
$74.13
AK $162UT $48.98
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.